Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.42 / $223.60 / $268.32	Facility	26	$219.42	$223.60	$268.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.82 / $557.72 / $2,489.00	Professional		$471.82	$557.72	$2,489.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $202.21 / $278.35 / $1,230.00	Professional	26	$202.21	$278.35	$1,230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.83 / $347.18 / $1,531.85	Professional	TC	$249.83	$347.18	$1,531.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.81 / $381.81 / $470.72	Professional		$381.81	$381.81	$470.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $174.63 / $478.12 / $478.12	Professional	26	$174.63	$478.12	$478.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.91 / $646.16 / $756.78	Professional		$442.91	$646.16	$756.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $208.91 / $244.52 / $296.75	Professional	26	$208.91	$244.52	$296.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.99 / $401.65 / $401.65	Professional	TC	$233.99	$401.65	$401.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $875.55 / $1,273.06	Professional		$417.34	$875.55	$1,273.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $184.37 / $266.01 / $427.87	Professional	26	$184.37	$266.01	$427.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.97 / $477.81 / $1,002.99	Professional	TC	$232.97	$477.81	$1,002.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $579.80 / $853.90	Professional		$8.55	$579.80	$853.90
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.80 / $270.24 / $394.10	Professional	26	$1.80	$270.24	$394.10
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.46 / $315.29 / $472.93	Professional	TC	$13.46	$315.29	$472.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $470.72 / $731.91	Professional		$8.55	$470.72	$731.91
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.80 / $225.20 / $337.80	Professional	26	$1.80	$225.20	$337.80
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.75 / $394.11 / $410.10	Professional	TC	$6.75	$394.11	$410.10
United Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $686.63 / $1,334.44	Professional		$552.00	$686.63	$1,334.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $200.25 / $290.52 / $429.98	Professional	26	$200.25	$290.52	$429.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.39 / $350.54 / $873.02	Professional	TC	$294.39	$350.54	$873.02